Form DCF-2210 B "Request for Appeal of Substantiation Finding(S)/ Recommendation for Placement on the Central Registry" - Connecticut

What Is Form DCF-2210 B?

This is a legal form that was released by the Connecticut State Department of Children and Families - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the Connecticut State Department of Children and Families;
  • Easy to use and ready to print;
  • Available in French;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DCF-2210 B by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Children and Families.

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Download Form DCF-2210 B "Request for Appeal of Substantiation Finding(S)/ Recommendation for Placement on the Central Registry" - Connecticut

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Connecticut Department of Children and Families
REQUEST FOR APPEAL OF SUBSTANTIATION FINDING(S)/
RECOMMENDATION FOR PLACEMENT ON THE CENTRAL REGISTRY
DCF-2210 B
Page 1 of 1
7/2016 (Rev.)
Please Complete this Form and Submit this Request to:
DCF-Legal Division
Department of Children and Families
505 Hudson Street
Hartford, CT 06106
Date:
LINK #:
Re: Investigation Dated:
Dear Sir or Madam:
I request an internal review because:
(CHECK ALL THAT YOU WANT TO APPEAL)
I disagree with the finding(s) that I have abused or neglected a child.
I disagree with the recommendation to have my name placed on the Central Registry.
AND (if applicable)
I wish to defer my appeal pending the disposition of my criminal court proceeding arising from the
finding(s) that I have abused or neglected a child. I understand that if I request that my case be
deferred, I must notify the DCF Legal Division within three years of the date of this letter to
reinstate my appeal. If I do not request that my appeal be reinstated within three years, I
understand that the findings below will be upheld,
All correspondence can be sent to me at the following address:
Last Name:
First Name
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Telephone Number:
E-mail address:
Thank you for your prompt response to this request.
Sincerely,
Signature:
Date:
Connecticut Department of Children and Families
REQUEST FOR APPEAL OF SUBSTANTIATION FINDING(S)/
RECOMMENDATION FOR PLACEMENT ON THE CENTRAL REGISTRY
DCF-2210 B
Page 1 of 1
7/2016 (Rev.)
Please Complete this Form and Submit this Request to:
DCF-Legal Division
Department of Children and Families
505 Hudson Street
Hartford, CT 06106
Date:
LINK #:
Re: Investigation Dated:
Dear Sir or Madam:
I request an internal review because:
(CHECK ALL THAT YOU WANT TO APPEAL)
I disagree with the finding(s) that I have abused or neglected a child.
I disagree with the recommendation to have my name placed on the Central Registry.
AND (if applicable)
I wish to defer my appeal pending the disposition of my criminal court proceeding arising from the
finding(s) that I have abused or neglected a child. I understand that if I request that my case be
deferred, I must notify the DCF Legal Division within three years of the date of this letter to
reinstate my appeal. If I do not request that my appeal be reinstated within three years, I
understand that the findings below will be upheld,
All correspondence can be sent to me at the following address:
Last Name:
First Name
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Telephone Number:
E-mail address:
Thank you for your prompt response to this request.
Sincerely,
Signature:
Date: